Organization Active NPI

Norterra Family Medicine, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1700034956
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4424 Issued in AZ
Legal business name
NORTERRA FAMILY MEDICINE, PLLC
Practice address
2060 W Whispering Wind Dr
Suite 173
Phoenix, AZ 85085-2867
Phone
(623) 565-5060
Fax
(623) 565-5061
NPI assigned
Aug 29, 2008
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Weiss, D.O.NPI 1609975184
Title
Owner
Phone
(623) 565-5060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4424 AZ Primary

Addresses

Primary practice location

2060 W Whispering Wind Dr
Suite 173
Phoenix, AZ 85085-2867

Mailing address

2060 W Whispering Wind Dr
Suite 173
Phoenix, AZ 85085-2867
Phone (623) 565-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090318000046 AZ Part B Supplier - Clinic/Group Practice 7315004470 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1094131Norterra Family Medicine2060 W Whispering Wind, Ste 173, Phoenix, AZ 85085Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

2060 W Whispering Wind Dr
Ste 173
Phoenix, AZ 85085
Phone (623) 565-5060

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1700034956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR",
            "address_2": "SUITE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852867",
            "telephone_number": "623-565-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR",
            "address_2": "SUITE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852867",
            "telephone_number": "623-565-5060",
            "fax_number": "623-565-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTERRA FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-565-5060",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.